{extend name="layout/default" /}
{block name="content"}
<div class="content" style="min-height: 100%;background-color: #E6F8F1;">
    <div class="content-block">
        <div class="web-title">
            <h2>邑度营养入营档案</h2>
            <p>*您所提供的个人信息我们将严格保密</p>
        </div>
        <div class="web-content">
            <form class="form" action="">
                <input type="text" class="form-control" name="mobile" placeholder="请输入您的手机号码">
                <input type="text" class="form-control" name="age" placeholder="请输入您的年龄">
                <div class="checkbox">
                    <label>
                        <input type="checkbox" checked>
                        <span>我已阅读并同意</span>
                        <a href="javascript:;" id="yhxy">《邑度营养用户协议》</a>
                    </label>
                </div>
                <div class="form-group">
                     <button type="submit" class="btn btn-default ajax-post" target-form="form">去完成入营测试</button>
                </div>
            </form>
        </div>
    </div>
</div>

{/block}
